NISC and Embedding Evidenced Based
Programs in Senior Center Activities
May 23, 2018
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 2
About NCOA
Who We Are: NCOA is a respected national leader
and trusted partner to help people
aged 60+ meet the challenges of aging
Our Vision:A just and caring society in which each
of us, as we age, lives with dignity,
purpose, and security
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 3
Our Mission:Improve the lives of millions
of older adults, especially
those who are struggling
Our Social Impact Goal:Improve the health and
economic security of 10
million older adults by 2020
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 4
September is National Senior Center Month
Agenda
Why Senior Centers are important
NISC Overview – Involvement & Member
Benefits
Evidenced Based Programming – Survey
Evidence-Based Programs in Senior
Center Activities
- Reneé C. Cunningham, MSS,
Center in the Park
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 5
Growing – Learning – Giving - Connecting
Regardless of age, we all want the same things.
The Pro Deo Youth Center Values
We believe that there should be a safe, fun, empowering environment
for teens to grow and develop, and that the basic needs of teens need
to be met if we expect everyone to function in the community in a
healthy manner.
Duxbury Senior Center Values
Our seniors will have meaningful opportunities to enjoy life, interact
with the community and preserve their mental and physical well-being.
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 6
NISC is the only national organization solely focused on
the needs of senior center professionals.
Connect to a network of
over 3,000 senior center professionals
About NCOANational Institute of Senior Centers - NISC
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 7
NISC Teams
Seven Outcomes-Focused NISC Teams
Public Policy and Advocacy
Economic Security
Improving Health
Standards & Accreditation
Best Practices
State Assns./Speakers Bureau
Diversity
Engaging Senior Centers in
NCOA’s Mission
NCOA Strengthening
Senior Centers
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 8
Voice
Web page
Webinar
NISC Network Connection
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 9
Senior Center Crossroads Community
• Social Networking Platform
• Crossroads is directly integrated with the NISC membership database
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 10
Conference Opportunity
Senior Centers 2018
NANASP/NISC Joint
Conference
June 6-8, 2018
Charleston,
South Carolina
Marriott Charleston
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 11
Public Policy & Advocacy
Advocacy
Announcements
Advocacy Toolkit
Templates
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 12
NISC sets the National Senior Center Standard
Building Excellence
National Senior Center
Standards and Self-
Assessment workbook
are free with NISC
membership
$600 savings per
individual site
Accreditation
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 13
Relevant Tools
- MCOA Marketing
Guide
- Great
Conversations –
Ashton Applewhite
-Conversation on
Ageism
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 14
Cellular
Recycler
Fundraiser
Pay for your
first year of
NISC
membership
Discount on
MPLC License
Save Money
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 15
Programming
- Savvy Saving Seniors
- USDA – Food Safety 101 Pilot
Program
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 16
Led by the NISC Best
Practices Team
482 programming ideas in 6
years
Submit your best program
now!
Programs of Excellence
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 17
The Aging Mastery Program® (AMP)
First piloted nationally in five senior
centers, AMP incorporates evidence-
based materials, expert speakers,
group discussion, and peer support to
give participants the skills and tools
they need to achieve measurable
improvements in managing their health
and remaining economically secure.
Learn more at www.ncoa.org
Aging Mastery Program ®
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 18
NISC Improving Health Survey (2016)
199 respondents
83% reported
offering at least
one evidence-
based program
55% reported
offering EBPs for
over five years,
30% for 3-4 years
Most commonly offered EBPs % Number
Chronic Disease Self-
Management Program53.3% 64
A Matter of Balance 50.8% 61
Diabetes Self-Management
Program35.8% 43
Arthritis Foundation Exercise
Program32.5% 39
EnhanceFitness 20% 24
Walk with Ease 20% 24
Source: https://www.ncoa.org/resources/nisc-improving-health-survey-report-part-1/
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 19
NISC Senior Center Survey – Evidence-based (2018)
2018 Survey - EBP held in last 6 months 125
respondents#
Chronic Disease Self-Management Program49.60%
62
Diabetes Self-Management Program- (DSMP)41.60%
52
Walk With Ease (Group)26.40%
33
EnhanceFitness20.00%
25
Active Living Every Day18.40%
23
Walk With Ease (Self-directed)12.80%
16
Healthy Steps for Older Adults12.80%
16
Fit and Strong!12.80%
16
EnhanceWellness12.80%
16
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 20
Falls Prevention Evidence-based (2018)
Falls Program 135 respondents #
A Matter of Balance 60.74% 82
Tai Chi 54.07% 73
Stay Active and Independent
for Life (SAIL)8.89% 12
Stay Safe, Stay Active 8.15% 11
Stepping On 7.41% 10
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 21
Behavioral & Mental Health Evidence-based
Behavioral and Mental Health evidence-
based programs
27
respondents #
Healthy IDEAS 74.07% 20
Program to Encourage Active, Rewarding Lives
(PEARLS)33.33% 9
Improving Mood—Promoting Access to
Collaborative Treatment (IMPACT)18.52% 5
Screening, Brief Intervention and Referral to
Treatment (SBIRT)11.11% 3
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 22
NISC Improving Health Survey (2016)
Implementation challenges:
34% reported that they did not have any challenges
offering EBPs due to high participant interest
18% indicated that recruitment was the largest challenge
to coordinating EBPs
22% indicated that limited funding was a barrier to
implementation
Fewer respondents shared the following challenges:
recruiting leaders, low retention, locating space, limited
staff, lengthy documentation, maintaining training
qualifications, among others.
Source: https://www.ncoa.org/resources/nisc-improving-health-survey-report-part-1/
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 23
NISC Improving Health Survey (2016)
39%
61%
% of survey respondents partnering with health care organizations (n=56)
Do not have a partnership Have a partnership
47 partnered with
hospitals
9 partnered with
insurance providers
Source: https://www.ncoa.org/resources/nisc-improving-health-survey-repor/t-part-2
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 24
NISC Improving Health Survey (2016)
0
2
4
6
8
10
12
Bill Medicare Bill Medicaid Partner with health careorganization
Number of survey respondents that have received reimbursement for evidence-based
programs (n=19*)
*Respondents could choose multiple applicable answers.
Source: https://www.ncoa.org/resources/nisc-improving-health-survey-report-part-2/
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 25
NISC Improving Health Survey (2016)
0
5
10
15
20
25
30
35
40
45
50
Mental health Substance abuse Oral health Other
Number of respondents that have referral partnerships for various services (n=65*)
*Respondents could choose multiple applicable answers.
Source: https://www.ncoa.org/resources/nisc-improving-health-survey-report-part-2/
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 26
Funding Sources (2018)
Funding Sources
149
respondents #
Older Americans Act Title III-D 56.38% 84
Grant / private funds 29.53% 44
Local government funding 23.49% 35
Other Responses 19.46% 29
Medicare or Medicare Advantage plan 12.75% 19
Other state funding 12.75% 19
State general revenue 10.74% 16
Medicaid / Medicaid Waiver 6.71% 10
Other federal funding 6.04% 9
AAA 17.24%5
Donations 17.24%5
Foundation 10.34%3
Hospital 10.34%3
Community Health 6.90%2
ACL 3.45%1
City 3.45%1
Endowment 3.45%1
Grant 3.45%1
Local health professional 3.45%1
Program fees 3.45%1
University 3.45%1
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 27
Resources
Find delivery systems in your state
► Grantees funded by ACL to implement EBPs (currently or in the past)
► Evidence-Based Leadership Council map of licensed programs
Best Practices Toolkit: Resources from the Field (Over 180 resources!)
Roadmap to Community-Integrated Health Care: Tools and resources to make stronger linkages with the health care sector
NISC Membership visit www.ncoa.org/join or call 571-527-3983 to learn more
Stay in touch!
► E-mail us to join the CDSME or falls prevention listserve([email protected])
► Sign up for NCOA e-newsletters
Reneé C. Cunningham, MSS
Center in the Park
www.centerinthepark.org
Our Mission
Center in the Park promotes
positive aging and fosters community
connections for older adults,
whose voices are critical
instruments in shaping its
activities and direction.
About Us Accredited by the
National Institute of Senior Centers (NISC) of the National Council on Aging (NCOA)
404 new members enrolled in FY17
Almost 1,800 unduplicated persons per year
Over 120 distinct programs
Housing Counseling
Ombudsman
In Home Support• Just over 70% from NW Philadelphia, with
balance residing throughout City & suburbs
CIP Strategic Areas of Focus – 2017-2020
Life-Long Learning
and Creative Self-
Expression
Social Services and
Housing
Health Promotion
and Evidence-
Based Programs
Advocacy and Long
Term Care
Community Connections
From A to Z – Aging Mastery to Zen. . .
Contributions & Grants 14%
United Way 6%
Service Contracts 11%
PCA 64%
Program Fees 2%
Memberships 1% Other 2%
Sources of Revenue
Contributions & Grants 14%
United Way 6%
Service Contracts 11%
PCA 64%
Program Fees 2%
Memberships 1%
Other 2%
Timeline of EBP Implementation2004:
Harvest Health CDSMP
2007: Healthy Steps for
Older Adults
2010:
Diabetes Self Management
Program
2013: Enhance Fitness
2013: Aging
Mastery Program*
(*evidence-informed)
2016: Pain Self
Management Program
Then & Now:Health Promotion and EBPs @ CIP
A Framework for AMP and EBPs
Recent Program Outcomes My participation helped me to…
A lot Some-what
Not at all
N/A
Meet new people 76% 17% 2% 5%
Know how to make healthy choices
76% 16% 2% 6%
Think differently 78% 18% 1% 3%
Know how to make positive changes
77% 17% 1% 5%
Learn new information
84% 14% 0% 2%
Have more energy 81% 15% 1% 3%
Embedding & Sustaining EBPs are integrated into CIP programming structure
Contracts with AAA
Build into grant proposals from community foundations
Engagement strategy targeting new members
Thinking about EBPs not as something additional, but a new way to do what senior centers already do.
Capacity: Delivery and Training Internal training
Peer Leaders
Staff; health promotion staff
Members
Participation in cross-training
External training
Developing master trainers/T-trainers to be able to train others
KEEP THEM ENGAGED
Recruitment: Naming and Framing Enlisting participants to help with naming and framing
Adapting recruitment materials
Engaging stakeholders
Testimonials
Get people talking
Partnerships: Past and Present
NCOA (AMP; DAMP)
PA Department of Aging (Healthy Steps)
Philadelphia Corporation for Aging (CDSMP;DMSP;PSMP)
State of Delaware (DSMP;CDSMP)
St. Mary’s Medical Center (CDSMP;DSMP)
Mazzoni Center (DSMP)
Health Promotion Council (CDSMP)
Academic partners (CDSMP; testing new programs such as BTB)
Community Foundations
Community Organizations (i.e. other senior centers; senior housing; churches)
Keep People Engaged!Celebrate Your Successes!
Reneé C. Cunningham, MSSCenter in the Park5818 Germantown AvenuePhiladelphia PA, [email protected] us on Facebook!
Improving the lives of 10 million older adults by 2020 | © 2018 National Council on Aging 47
Join NCOA’s National Institute of Senior Centers
Your gateway to learning, sharing, networking, advocacy, and more.
• The only national group solely focused on the needs of senior center
professionals.
• NISC sets the standards – “Building Excellence” the newly released
national standards manual, free to NISC members at no cost. A $150
value.
• Connect to a network of professional support and innovative solutions.
• Join NISC and save – you’ll save with member benefits, the National
Standards Manual, accreditation fee or earn money with cellular
recycler.
• $145 covers everyone in your organization
• Visit www.ncoa.org/join or call 571-527-3983 to learn more
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Visit ncoa.org and sign up for enews
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Share NCOA’s free, trusted
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► BenefitsCheckUp.org
► EconomicCheckUp.org
► MyMedicareMatters.org